You obviously can’t avoid lifting things. So, the next best thing is making sure you lift things correctly. A large percentage of the low back injuries I see in my Woodbridge, Dale City VA Chiropractic office are from lifting. Here are some tips you can use to avoid lifting injuries.
Back pain and injuries from improper lifting techniques typically lead to three kinds of injuries to the muscles, vertebral discs, and joints. Some injuries from incorrect lifting include:
1 Disc injury
2 Joint injury
3 Muscle injury
With improper lifting, you may experience a tear, rupture, or shift out of position of the soft cushions between your vertebrae, called discs. If this injury does occur, the fibrous rings surrounding the soft leathery discs can bulge and even rupture. This can cause the dislocated or ruptured disc to press against a nerve, causing pain and numbness to radiate down into you buttocks or leg.
Because of the numerous joints in your spinal column that connect all of the various bony structures, injury may occur. A joint injury can be caused by a bad lift because it causes excessive strain on your joints, irritating tissue within them, and in some cases, locking them up. As well, if you change position during a lift, you can place a lot of stress on your lower back muscles. This added stress can easily strain and injure your back, usually in the form of a small twist or tear of a single muscle or group of muscles.
An important rule to remember when lifting is to never bend from your waist and then stand upright to lift an item from the ground. Keep your back straight and crouch first by bending at the knees or hips. This all depends on where the item is that you are lifting and allows your arms and shoulder muscles to do the brunt of the lifting, rather than your back. Some simple lifting techniques include:
1 Make sure you have a place to put the object you are lifting.
2 If you need to turn while lifting the object, use your feet to pivot, not your back.
3 Your leg muscles should be the ones providing the power during your motion to stand erect, not your back.
4 Keep the object close to your body in order to maximize the use of your arms and shoulder muscles.
5 Keep your chest forward and bend at your hips, or knees, not your lower back.
6 When lifting, push your chest out, pointing forward. Avoid twisting or turning during your lift as this will cause injury.
7 Lead with your hips, not your shoulders and keep your shoulders in line with your hips.
8 Don’t lift any objects that are obviously too heavy.
A “popped out” rib can be a nightmare! That wonderful knife-like pain along your spine usually medial to the shoulder blades. If it is on the left it can be mistaken for a heart attack and it has sent people to the ER because they aren’t sure about the pain. A few thousand dollars later you are sent home with a Motrin 800 prescription. Obviously if you think it is a heart attack go to the ER but when they send you home give your Woodbridge, Dale City VA Chiropractor a call. Here are some things that can be done for a “popped rib.”
1 Moist Heat, One of the biggest complaints, when a rib is out, is muscle spasming. Heat will help you endure a muscle spasm. There is a caveat, however. Heat brings blood to an area and it can help with lactic acid build up as well. You should follow the heat with some ice to help prevent any joint capsule inflammation.
2 Massage, but be careful. As mentioned, muscles are often tight when a rib is not functioning properly. massage can really help to calm down the muscles. Here again, a word of warning. Often times, the person giving the massage will feel a good sized bump and mistake what is really the head of the rib for a muscle knot. Rubbing this bump will not only be painful but can increase symptoms. Working on the areas around it can be quite helpful. Massaging after the rib is moving again is great.
3 TENS or Electric Stimulation. A great, non-drug option for killing a spasm and managing pain is to use e-stim, TENS or something similar. These are basically devices that send electrical pulses through wires and patches over muscles.
4 Get it adjusted! At the end of the day, until the rib starts moving properly it will cause problems. Not all chiropractors are great at adjusting ribs as they can be difficult. Likewise, you really need to have the specific rib adjusted and not just do a general spine adjustment. Even after you get it adjusted it may still feel out. Remember that the muscles have most likely tightened around it and formed a knot. Symptoms can take a while to settle down.
5 Mind your posture and quit trying to stretch it. Typically, ribs go out because of a forward head and shoulder posture. So, why do we always try and stretch that same way to get it to feel better? Likewise, stretching spasming muscles does not really work. It drives me crazy when I adjust a rib and the first things my patient does is check to see if stretching forward still hurts. That is like separating a wound to see if it has healed yet. If you keep doing it, it will never heal. Instead, look straight ahead and pull your shoulder blades down and back. Here is the vintage YouTube video I created to demonstrate. If you do this exercise and it is still really painful, chances are the rib is out again.
Ribs can definitely be tricky. Sometimes they stay in after one adjustment and sometimes they take several adjustments. Usually, the longer it is out the more adjustments it will take. The rib joints at the front where it connects to the sternum can go out, too. These are also very painful and can be adjusted, although it is a different method. Please remember that although rib pain is brutal, it is not that damaging. Stressing about it will only complicate the healing process. If you have pain to one side of the spine by the shoulder blades, in the front next to the sternum, radiating along the ribs, or all of the above, just come in and we can either help you or, at least, point you in the proper directions.
There are many reasons people come to my Woodbridge, Dale City VA chiropractic office. One of the biggest reasons they come is back pain. In fact, 31 million Americans experience low-back pain at any given time.1 As common as back pain is there are many things people don’t know about it. Here are some pretty interesting facts about back pain and if you ever get back pain be sure to call.
A few interesting facts about back pain:
Low back pain is the single leading cause of disability worldwide, according to the Global Burden of Disease 2010.
Back pain is one of the most common reasons for missed work. In fact, back pain is the second most common reason for visits to the doctor’s office, outnumbered only by upper-respiratory infections.
One-half of all working Americans admit to having back pain symptoms each year.2
Experts estimate that as much as 80% of the population will experience a back problem at some time in their lives.3
Most cases of back pain are mechanical or non-organic—meaning they are not caused by serious conditions, such as inflammatory arthritis, infection, fracture or cancer.
Americans spend at least $50 billion each year on back pain—and that’s just for the more easily identified costs.4
What Causes Back Pain?
The back is a complicated structure of bones, joints, ligaments and muscles. You can sprain ligaments, strain muscles, rupture disks, and irritate joints, all of which can lead to back pain. While sports injuries or accidents can cause back pain, sometimes the simplest of movements—for example, picking up a pencil from the floor— can have painful results. In addition, arthritis, poor posture, obesity, and psychological stress can cause or complicate back pain. Back pain can also directly result from disease of the internal organs, such as kidney stones, kidney infections, blood clots, or bone loss.
Used primarily by DCs for the past century, spinal manipulation has been largely ignored by most others in the health care community until recently. Now, with today’s growing emphasis on treatment and cost effectiveness, spinal manipulation is receiving more widespread attention.
Spinal manipulation is a safe and effective spine pain treatment. It reduces pain (decreasing the need for medication in some cases), rapidly advances physical therapy, and requires very few passive forms of treatment, such as bed rest.5
In fact, after an extensive study of all available care for low back problems, the federal Agency for Health Care Policy and Research (now the Agency for Health Care Research and Quality) recommended that low back pain sufferers choose the most conservative care first. And it recommended spinal manipulation as the only safe and effective, drugless form of initial professional treatment for acute low back problems in adults.6
A well respected review of the evidence in the Annals of Internal Medicine pointed to chiropractic care as one of the major nonpharmacologic therapies considered effective for acute and chronic low back pain.7
More recently, research has shown that there is strong evidence that spinal manipulation for back pain is just as effective as a combination of medical care and exercise, and moderate evidence that it is just as effective as prescription NSAIDS combined with exercise.8
A patient information article published in the Journal of the American Medical Association in 2013 also suggested chiropractic care as an option for people suffering from low back pain–and noted that surgery is usually not needed and should only be tried if other therapies fail.9
The American Chiropractic Association (ACA) urges you to make an informed choice about your back care. To learn more about how the services of doctors of chiropractic may help you, review the results of recent research studies and contact a doctor of chiropractic in your area. Search ACA’s database of members to find a doctor of chiropractic near you.
Tips to Prevent Back Pain
Maintain a healthy diet and weight.
Remain active—under the supervision of your doctor of chiropractic.
Avoid prolonged inactivity or bed rest.
Warm up or stretch before exercising or physical activities, such as gardening.
Maintain proper posture.
Wear comfortable, low-heeled shoes.
Sleep on a mattress of medium firmness to minimize any curve in your spine.
Lift with your knees, keep the object close to your body, and do not twist when lifting.
Quit smoking. Smoking impairs blood flow, resulting in oxygen and nutrient deprivation to spinal tissues.
Work with your doctor of chiropractic to ensure that your computer workstation is ergonomically correct.
References:
Jensen M, Brant-Zawadzki M, Obuchowski N, et al. Magnetic Resonance Imaging of the Lumbar Spine in People Without Back Pain. N Engl J Med 1994; 331: 69-116.
Vallfors B. Acute, Subacute and Chronic Low Back Pain: Clinical Symptoms, Absenteeism and Working Environment. Scan J Rehab Med Suppl 1985; 11: 1-98.
Ibid.
In Project Briefs: Back Pain Patient Outcomes Assessment Team (BOAT). In MEDTEP Update, Vol. 1 Issue 1, Agency for Health Care Policy and Research, Rockville, MD.
Time to recognize value of chiropractic care? Science and patient satisfaction surveys cite usefulness of spinal manipulation. Orthopedics Today 2003 Feb; 23(2):14-15.
Bigos S, Bowyer O, Braen G, et al. Acute Low Back Problems in Adults. Clinical Practice Guideline No.14. AHCPR Publication No. 95-0642. Rockville, MD: Agency for Health Care Policy and Research, Public Health Service, U.S. Department of Health and Human Services, December, 1994.
Chou R, Hoyt Huffman LH. Nonpharmacologic therapies for acute and chronic low back pain: a review of the evidence for an American Pain Society/American College of Physicians Clinical Practice Guideline. Ann of Internal Med 2 Oct. 2007;147(7):492-504.
Bronfort G, Haas M, Evans R, et al. Evidence-informed management of chronic low back pain with spinal manipulation and mobilization. Spine. 2008;8(1)213-225.
Goodman D, Burke A, Livingston E. Low Back Pain. JAMA. 2013; 309(16):1738.
Sometimes it isn’t the activity that caused the low back injury it is everything leading up to it that caused the injury. As your Chiropractor in the Woodbridge, Dale City VA area I hear this complaint all the time… “All I did was BLANK”. Generally I agree that whatever BLANK was shouldn’t have hurt you. The goal with your spine is to keep the support system hydrated and stretched. If the muscles are in a relaxed state than BLANK shouldn’t hurt you.
Here are some daily stretches you can do to keep your back stretched and relaxed so the muscles function correctly.
The Deep Squat
Stand up straight with your arms folded across your chest. Place your feet shoulder-width apart and toes pointing out slightly. Squat down as far as you can, keeping your heels on the floor. As you squat ensure your weight goes into your heels and not your toes. For a full range of movement, your bum should sit down by your heels and your head should be tall and looking forward. Perform the exercise slowly when lowering down, giving yourself time to keep control and lower all the way – or as far as your range of movement will allow. Pause for a count of two at the bottom of the squat, allowing your groin area to relax. Your knees should be directed slightly outwards in alignment with your feet. Keeping your knees out, squeeze your gluteals and stand up out of the squat. Only go as far as you can without any pain. As you perform the exercise regularly you will slowly but surely be able to achieve greater flexibility. Do this for 2 sets of 10.
Knee to Chest
Lie on your back, flex your knees up and do a pelvic tilt so you press your lower back flat to the floor. Slowly and gently pull your right knee to your chest at a slight angle towards your left shoulder. Hold for 5 seconds and release back to the bent position. Then repeat with the opposite leg. Do this 10 times in alternating fashion
Downward Dog
Place your hands and feet on the floor, shoulder-width apart, knees bent and hips high. Your heels should be off the floor at this point. Relax your head and neck so you are looking towards your knees. Do a pelvic tilt so your lower back is arched and your spine is straight. Now straighten your arms and pull your shoulder blades together. Straighten your knees as well. You may lose the arch in your low back but don’t allow your lumbar spine to flex. This will require a good abdominal squeeze to maintain the lumbar arch. Hold for 30 seconds and relax. Repeat 5 times.
Spine twists
Sit down with your legs loosely crossed. Pull your back up tall and stick your chest out so that you are sitting upright with perfect posture. Fold your arms across your chest. Tighten your abs so that your pelvis is stable. Then slowly turn your head and shoulders to one side. Turn as far as you can and you will feel the stretch in the rib area. Hold the end position for a count of two and then turn across to the other side and repeat. Perform two sets of 10 repetitions each side.
Do not force any of these exercises and if you feel any discomfort stop. Keeping your low back stretched will help you prevent some low back injuries but routine chiropractic visits with these stretches can help prevent the big injuries. Of course injuries are inevitable but if your try to prevent the preventable ones you can eliminate a lot of pain from your life.
I treat all sorts of headaches in my Woodbridge, Dale City VA Chiropractic office and I have noticed that many headaches that people classify as migraines are actually not migraines at all. Two of the most common headaches confused with migraines are sinus headaches and occipital neuralgia.
Occipital neuralgia can be debilitating but there are treatments, including chiropractic, that are very effective. Understanding occipital neuralgia can help patients better manage it so they can minimize the pain and symptoms of the condition.
What is occipital neuralgia?
Occipital neuralgia is a neurological condition that affects the occipital nerves which run from the top portion of the spinal cord, through the scalp, transmitting messages to and from the brain. There are two greater occipital nerves, one on each side of the head, from between the vertebrae located in the upper neck through the muscles that are located at the base of the skull and back of the head.
While they do not cover the areas on or near the ears or over the face, they can extend over the scalp as far as the forehead. When those nerves are injured or become inflamed, occipital neuralgia is the result. A person with this condition may experience pain at the base of their skull or the back of their head.
What are the symptoms of occipital neuralgia?
Pain is the prevalent symptom of occipital neuralgia. It often mimics the pain of migraine headaches or cluster headaches and is described as throbbing, burning, and aching.
There may also be intermittent shooting or shocking pain. Typically, the pain begins at the base of the skull but may radiate along the side of the scalp or in the back of the head. Other symptoms include:
Pain is experienced on one side (but sometimes both sides)
Pain behind the eye of the side that is affected
Tenderness in the scalp
Sensitivity to light
Pain triggered by neck movement
What causes occipital neuralgia?
Irritation or pressure to the occipital nerves are what actually cause the pain. This may be due to tight muscles in the neck that squeeze or trap the nerves, injury, or inflammation.
However, much of the time doctors are unable to determine the cause. There are several medical conditions linked to occipital neuralgia:
Tight neck muscles
Diabetes
Trauma or injury to the back of the head
Gout
Tension in the neck muscles
Whiplash
Inflammation of the blood vessels in and around the neck
Infection
Neck tumors
Cervical disc disease
Osteoarthritis
What are the treatments for occipital neuralgia?
Occipital neuralgia treatment focuses on pain relief. It often begins with conservative treatments that include:
Chiropractic
Rest
Heat
Physical therapy
Anti-inflammatory over the counter medication
Massage
In more severe cases the patient may be prescribed a stronger anti-inflammatory medication, muscle relaxants or in some cases an anticonvulsant medication.
If these therapies are not effective or do not bring about the desired level of pain relief, then doctors may recommend percutaneous nerve blocks and steroids. Sometimes surgery is recommended in cases where the pain is severe, chronic, and is unresponsive to more conservative treatments.
Chiropractic for occipital neuralgia
Chiropractic was once considered an “alternative” treatment for occipital neuralgia, but now it is often a regular part of recommended patient care. The advantage of chiropractic over medication or surgery is that chiropractic does not come with the side effects of drugs or the risks of surgery.
Another advantage is that chiropractic seeks to correct the root of the problem, not just manage the pain like other treatments.
Chiropractic treatment for occipital neuralgia may include lift adjustments, heat, massage, and traction. This will bring the body back into proper alignment and take the pressure off of the nerves as it loosens the neck muscles.
Keep this handy for January 2nd. Coming from a person who wears drawstring scrub pants you have to watch it around the holidays. That being said wait until after them to start exercising. As your Chiropractor in the Woodbridge, Dale City VA I have to give you some tips so you can start and exercise regime safely.
Before you start an exercise program, there are a few things your need to figure out:
Question Yourself
What are your goals?
Lose weight… Increase cardio performance… But if you’re of a certain age or have certain cardiovascular risk factors, you may need to see your physician before beginning a program that involves vigorous (as opposed to moderate) aerobic activity.
Here’s how exercise intensities are typically defined:
Low-to-Moderate
Something you can do for about 60 minutes. Usually included in the 60 minutes is a slow gradual warm up leading to brisk pace.
Vigorous
Name says it all. Usually after 20 minutes of this type of exercises fatigue starts to set in. Heart rate and breathing significantly increased.
Are you planning to participate in vigorous activities and are a man over 45 or a woman over 55? You should receive a medical exam first. The same is true for individuals of any age with two or more coronary artery disease risk factors. If you’re unsure if this applies to you, check with your physician.
Now the standard questions you need to ask yourself:
A “yes” to any one of the following questions means you should talk with your doctor, by phone or in person, before you start an exercise program. Explain which questions you answered ‘’yes’’ to and the activities you are planning to pursue.
Have you been told that you have a heart condition and should only participate in physical activity recommended by a doctor?
Do you feel pain (or discomfort) in your chest when you do physical activity? When you are not participating in physical activity? While at rest, do you frequently experience fast, irregular heartbeats or very slow beats?
Do you ever become dizzy and lose your balance, or lose consciousness? Have you fallen more than twice in the past year (no matter what the reason
Do you have a bone or joint problem that could worsen as a result of physical activity? Do you have pain in your legs or buttocks when you walk?
Do you take blood pressure or heart medications?
Do you have any cuts or wounds on your feet that don’t seem to heal?
Have you experienced unexplained weight loss in the past six months?
Are you aware of any reason why you should not participate in physical activity?
If you answered “no” to all of these questions, and you passed the first round of questions, you can be reasonably sure that you can safely take part in at least a moderate-intensity physical-activity program.
But again, if you are a man over 45 or a woman over 55 and want to exercise more vigorously, you should check with your physician before getting started.
As your Chiropractor in the Woodbridge, Dale City VA area I see lots of neck problems. Some can be trauma related like a whiplash from an automobile accident but others just seem to come out of nowhere. The ones that seem to just happen don’t really just happen. Lots of time it is a forward head posture that sets you up for this mysterious and very painful complaint. Correcting this posture can help prevent the neck pain in the future.
Stiff Neck Treatment Options
With over 70 percent of Americans experiencing significant neck pain at some point in their lives, more and more Kansas City residents are looking for stiff neck treatment options. A study in the Annals of Internal Medicine recently found that 6 neck exercises done on a regular basis brought neck pain relief.
The Culprit: Forward Head Posture
Most neck problems are caused by improper posture – both at home and in the office. An average head weighs 10 pounds when it’s positioned directly above your body, but for every inch the head moves forward, it gains 10 pounds in weight. This puts an enormous amount of pressure on the neck and upper back and can result in stiff neck, neck pain and headaches.
Stiff Neck Treatment Through Chiropractic Care
Stiff neck is often treated by chiropractic care. Chiropractors examine the joints in the neck to determine what areas are locked up or stiff. They then restore motion to those joints – freeing up the joint so that your bones can bend and move as your body bends and moves.
Simple stretching exercises can provide relief for people who are experiencing mild or moderate discomfort.
These movements use neck retraction which helps the joints and muscles work together. The scientists who tested the movements at the Center for Clinical Studies at Northwestern Health Sciences University in Bloomington, MN found that a series of 6-8 times a day may prevent stiff neck from ever occurring.
The Six Movements are Listed Below:
Neck Retraction – Bring the head straight back, keeping your eyes forward then return to a neutral position.
Head Drop – Tip your head back as far as it can comfortably go pointing your chin toward the ceiling. Return to a neutral position.
Side Bend – Reach over the top of your head with your left hand and gently pull your left ear to your left shoulder. Repeat for the right side.
Rotation – Turn your head to the left so that your nose is over your shoulder. Return to a neutral position. Repeat on the right side.
Flexion – Clasp your hands behind your head and guide the head down – bringing your chin toward your the chest.
Shoulder Blade Pull – Bend raised arms at 90 degree angles. Relax your shoulders and squeeze the muscles between the shoulder blades.
I get several calls a week at my Woodbridge, Dale City Chiropractic office relating to Neurology. A Chiropractic Neurologist treats many non-surgical and non-pharmacological complaints a patient can have. The additional training, I received from the Carrick Institute specializes in brain based rehabilitation. That training also helps me identify issues I am unable to treat and need to refer out for further testing.
Traditionally, neurology tends to look at disease of the nervous system as black-and-white with one side being optimal neurologic function and the other being neurological disease such as tumors, strokes etc. Functional Neurology looks at dysfunction of the nervous system as different shades of gray looking for subtle changes in the nervous system before they become distinct pathologies. You will often hear it said by functional neurologist that neurons need fuel and activation in order to thrive and survive. Fuel can be defined as oxygen, glucose and essential nutrients. Activation refers to stimulation of the nervous system which causes changes in the structure and metabolism of the nerve cell. More recently, Functional Neurology Practitioners are also involved with eliminating possible negative effects on neurons such as toxins, infectious agents and immune responses.
Four factors that are of high importance in functional neurology care are:
Determining where the failure in the nervous system and/or body lies.
What would be the right stimulation to activate that area?
What is the health and condition of the failing area, so as to determine how much stimulation would be too much.
Adapting this vital information in order to apply that precise amount of stimulation to the patient in our office.
It is important to note that the stimulations used, must be specific to the particular patient who is being treated. There is bio- individuality to the nervous system, just as individual as a fingerprint, and such that even those with similar symptoms may require different stimulations at different frequencies and intensities in order to achieve the best success. This cannot be done in a generalized or cookbook type program. For example, you cannot treat every patient with a balance disorder or ADHD with the same treatment protocols. Generalized treatments run the risk of exciting an area of the nervous system that is already overexcited, or stimulating an area that should be inhibited. Results are maximized due to the fact that the program of stimulations is tailored to the individual patient’s problem and capacity, and not a one-size-fits-all program where results may be limited or the program may actually be inappropriate. In other words: Different people, different brains, and therefore, different treatments.
It is important to note that the functional neurological examination although very detailed is noninvasive and therefore can be performed on many different types of patients without patient anxiety being a factor. This is very significant especially for those practitioners treating children on the autism spectrum, because there is a tendency for these children to have higher anxiety. The skilled Functional Neurology Practitioner realizes that everything from the patient’s posture, to tics, to faulty eye movements, and alignment are all expressions of what is going on in the patient’s nervous system. Subtle though these expressions may be, to the highly skilled Functional Neurologist, these little things mean a lot.
Activation of the nervous system via specific exercises or stimulations to targeted areas of the brain, pathways or circuits can create powerful results in the patient, but should be carefully monitored, so that the metabolic capacity of the patients nervous system is not exceeded, and damage does not occur instead of the intended rehabilitation.
Functional neurology is on the cutting edge of health care.
Functional neurology is a field of study that achieves successful results by applying current neuroscience in an office setting. This means that the Functional Neurology Practitioner is taking current neuroscience from the research laboratory and devising ways of applying that research in the office to treat patients. The training begins with neuron theory and progresses to a level that allows the practitioner to evaluate and treat dysfunction of the nervous system without the use of, or in conjunction with medications.
The concept of functional neurology is relatively new and therefore begs the question” What exactly is functional neurology? ” This is an inquiry that I get asked when doing presentations, and by email on a regular basis. Hopefully the above helps to clarify some of the questions and misconceptions out there regarding Functional Neurology.
The following is a list of health conditions people have shown significant improvement with:
Balance disorders low immunity
arm/shoulder pain spinal stenosis
low back pain/sciatica numbness
bulging/herniated discs neck pain
carpal tunnel syndrome MS symptoms
dizziness tremor disorders
dystonia hip/knee/feet pain
early Alzheimer’s symptoms insomnia
fibromyalgia migraines
RLS (restless leg syndrome)
If you have been suffering from any of the above problems or can’t figure out what is wrong call me at 703 730 9588. Even if it is outside of my scope of practice I may be able to help you find relief.
We all know a good night sleep is very important. Getting that sleep is another thing! We almost never have 8 hours but the precious time we do have for sleep should at least be comfortable. If you have back, neck or shoulder problems I would advise seeing your Woodbridge, Dale City VA chiropractor. I am sure I could help you but after that maybe it is your mattress. Here are some tips to help you match your complaints to your mattress. That may help you get even more relief.
Lower back pain: Patients suffering with low back pain (LBP) most often prefer beds that are firmer. One study purported that hard beds should be the first choice for LBP sufferers, but if that did not help, then they should try waterbeds. The recommendation is not that they should sleep on a rock-hard bed, but rather, that they need support. A firmer bed prevents the low back from sinking deeply into the bed and irritating the facet joints. Higher-end luxury beds can provide plenty of support along with comfortable padding, while lower-end discounted beds can provide the firmness, but with less comfort.
Upper back and neck pain: Patients who are suffering from upper back and neck pain often prefer softer or plushier bedding. The plushier cushioning in the bed allows the head and thoracic area to sink into the bed to support the cervical area. A pillow-top mattress, or one with softer foams, padding and quilting, can be a good recommendation. There are also several types of pillows that can provide extra support for the neck.
Arthritis and fibromyalgia: Patients suffering with multiple painful joints often prefer bedding with cushioning that disperses the weight across the greatest body surface. Frequently, such patients also have spinal complaints. Balancing cushioning with proper support for the spine requires a higher-end mattress. Since fibromyalgia is related to stress levels, it also is important to review pre-sleep rituals with patients to help relax them before going to bed.
Stomach sleepers: Sleeping on the stomach in a soft bed can stress the thoracolumbar spine. The weight of the belly and pelvis also compress the bedding. To provide support to the stomach, pelvis and thoracolumbar areas, a firmer mattress is necessary.
Side-lying sleepers: An estimated 73 percent of the population sleeps on its side. Plush mattresses are often recommended to side-lying sleepers because they provide the best way to maintain the natural shape of the spine and the curves of the hips and shoulders while sleeping. Plush bedding will cradle the body and help disperse the weight of the body across the maximum surface area, instead of creating pressure points at the hips and shoulders. Special pillows also may be necessary to support the neck in a position parallel to the ground.
Seniors: Most seniors grew up sleeping on extremely stiff beds, because that was what manufacturers made at that time. Having slept on firm mattresses their entire lives, many prefer firmer bedding, even if their health conditions indicate that plushier bedding would be better. Some education may be necessary to convince an older person of the need to change mattresses.
One of the most common low back complaints I see doesn’t really end up being the lumbar spine. It is usually the SI joint. The term is very common with regards to low back pain but when I say it to patients most have never heard of it. And rightfully so! As your chiropractor in the Woodbridge, Dale City VA area I want to change that with some basic information on the SI joint.
Chiropractic is all about expression of optimal health and living the best possible life for you. The focus, especially with doctors of chiropractic at The Joint, is about improving the overall quality of your daily life through regular spinal adjustments. An adjustment helps restore spinal movement, which allows the nervous system to function at its highest possible level. Because the nervous system controls everything we do (including breathing, blinking and swallowing), a system operating optimally is extremely valuable. One of the additional perks — the one that often brings people in — is that pain and joint dysfunction often go away. That’s like magic! Many times people are freed to return to activities they love but have struggled participating in, whether it’s skateboarding, surfing, or lifting a little one up over their head. One of the most common issues that chiropractors see is SI joint dysfunction. It’s common enough that many people know what the SI joint is, but if you don’t, don’t worry — just keep reading. I’ll go over a bit of the science and how chiropractic can play a role in resolving SI joint issues.
The Science
SI stands for sacroiliac. You have two SI joints. The joints are on either side of the sacrum and each ilium (you know this as your hip bone). They are at the bottom of the spine and connect the sacrum and ilium on each side. The main motion of the joint is a shearing motion (a sliding motion back and forth between two parallel surfaces, joint facets in this case).
Dysfunction
SI joint dysfunction means the SI joint is not moving the way it’s intended. Perhaps this means its range of motion is limited — either the sacrum or the ilium is literally mal-positioned and stuck — or there is too much motion. Each joint works to transfer weight from the upper body to the lower body; they are designed to allow minimal movement and they have strong ligaments and tendons that support them. The dysfunction can occur as a result of a variety of things. We live in a society in which the average person sits far too much and carries too much weight. This lack of movement doesn’t encourage proper SI joint health and function. Dysfunction can also be a result of stress from overcompensation after prior spinal surgeries. Too much SI joint movement commonly occurs in pregnant women due to ligament-stretching and laxity.
Symptoms and Treatment
As with most conditions, symptoms vary from person to person. It’s common for SI joint dysfunction to present with low back pain or pain in the buttocks. Pain can radiate down the leg or even into the front of the thigh, but generally not past the knee. SI joint pain can mimic many other causes of low back pain. Chiropractors are experts at determining the source of spine pain in patients — and caring for them, too!
Through an adjustment, chiropractors help restore motion in the SI joint and/or associated joints contributing to the problem. I’ve found that SI joint dysfunction typically responds well to chiropractic care and that pain relief can occur quickly after an adjustment. The exact treatment duration and intensity will depend on the person, their lifestyle and the degree of the subluxation.
